Individual
ELIZA WIGGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 N HIGH ST, DENVER, CO 80205-5555
(203) 856-9416
Mailing address
4060 UPHAM ST, WHEAT RIDGE, CO 80033
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
1638305
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
APN.1000074-NP
CO
363LP0200X
Pediatric Nurse Practitioner
RXN.0109079-NP
CO
Other
Enumeration date
05/06/2024
Last updated
08/23/2024
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